The period prevalence of Huntington's disease (HD) in Hong Kong Chinese was 3-7 per million population. HD patients in Mainland China and Hong Kong showed similar hereditary pattern, clinical and pathological features as in the West. Chinese HD patients were male predominant with a younger age of onset and death. Their ancestral origin could be traced mostly to the coastal provinces of China. It is proposed that Chinese HD patients may have a European origin and share the same gene pool as their white counterparts. (7 Neurol Neurosurg Psychiatry 1992;55:681-684)